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Operations Manager

Keywords / Skills : US Healthcare, Medical Billing, Insurance Claims, Denial Management, Revenue Cycle ManaRevenue Cycle Management

1 - 3 years
Posted: 2019-08-26

Job Description
Review provider claims that have not been paid by insurance companies

Follow up with insurance companies to understand status of claims. Follow up is done through insurance company/ TPA website or through outbound calls

Based on information received from the insurance company/ TPA, make necessary corrections to the claim and re-file the corrected claim to the insurance company/ TPA

In case the patient does not have sufficient insurance coverage for the medical procedure or if the patient is in any way not eligible for coverage, transfer the outstanding balance to the patient.

In case the claim has already been paid by the insurance company, request insurance company/ TPA to send EOB (Explanation of Benefits) through fax/ mail



About Company

Erics is an advisory firm that provides multidisciplinary solutions to complex challenges and opportunities with the full power of unique depth of thought combined with the global expertise, founded and established by group of professionals with rich experience in various consulting services. We are committed to protecting and enhancing the enterprise value of our clients.

We are specialized in Recruitment, Hiring People for various IT, Non-IT and ITES Sectors. Recruiting Customer Care Executives, Technical Support Executives, Finance, Sales & Marketing, Health Care, HR, Software Developers, Testing Engineers, Manufacturing, Pharma, Admin & BFS Professionals.
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